Paul Alan Tripi, M.D. office: fax:

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1 Paul Alan Tripi, M.D. office: fax: EDUCATION Harvard Medical School Boston, Massachusetts Doctor of Medicine (M.D.) Case Western Reserve University Bachelor of Arts (B.A.) in Chemistry Summa cum laude POSTDOCTORAL TRAINING The Cleveland Clinic Foundation Resident in Anesthesiology The Children s Hospital Boston, Massachusetts Resident in Pediatrics ACADEMIC APPOINTMENTS Present Associate Professor in Anesthesiology (Pediatrics) Case Western Reserve University, School of Medicine Assistant Professor in Anesthesiology (Pediatrics) Case Western Reserve University, School of Medicine Instructor in Anesthesiology Case Western Reserve University, School of Medicine

2 HOSPITAL APPOINTMENTS Present Chief, Division of Pediatric Anesthesiology Department of Anesthesiology University Hospitals of Cleveland/Rainbow Babies and Children s Hospital Acting Chief, Division of Pediatric Anesthesiology Department of Anesthesiology University Hospitals of Cleveland/Rainbow Babies and Children s Hospital Present Attending Anesthesiologist Department of Anesthesiology University Hospitals of Cleveland DEPARTMENTAL APPOINTMENTS Present Member, Residency Recruiting Committee 2002 Member, Anesthesia Billing Advisory Committee Present Member, Anesthetist/Faculty Steering Committee Present Member, Policy/Procedures Committee Member, Value Analysis Committee 1999 Chairman, Call Coverage Committee Chairman, Compensation Committee 1996 Chairman, Finance Subcommittee Present Member, Business Committee 1995 Chairman, Neuromuscular Blocker Taskforce Secretary, Advisory Committee Present Member, Appointment, Promotion and Tenure Committee Secretary/Director, University Anesthesiologists Board of Directors Member, Resident Recruitment Committee Member, Quality Assurance Committee INTERDEPARTMENTAL APPOINTMENTS 2004 Member, Operative Services Council Present Member, Rainbow Surgical specialists Present Member, Pediatric Blood conservation Advisory Council 2002 Present Member, Rainbow Babies & Children s Hospital Leadership Council Present Member, Center for Bloodless Medicine and Surgery Ad Hoc Committee Member, RB&C Resuscitation Committee Member, Owners Construction Oversight Committee/UHS Bishop Operating Suite Renovation Member, Pediatric Subcommittee of Surgical council Member, Preadmission Testing Taskforce Member, Pediatric Surgery Strategic Planning Committee Member, RB&C Pain Taskforce Present Member, Surgery Council PROFESSIONAL ACTIVITIES 2004 Guest Reviewer, Journal of Urology Reaccreditation of pediatric anesthesia fellowship Actively involved in Blueprint for Change, an initiative at University Hospitals of Cleveland to improve efficiency. Appeared in Need to Know television commercial sponsored by Rainbow Babies and Children s Hospital

3 PROFESSIONAL ACTIVITIES (cont.) Guest Reviewer, Journal of Urology Sponsored two resident projects at the Ohio Society of Anesthesiologists annual meeting Revised departmental Pediatric Anesthesia Handbook 2002 Sponsored resident project at the Midwest Anesthesiology Residents Conference Sponsored two resident projects at the Midwest Anesthesiology Residents Conference Admitted the first fellow to our newly developed pediatric anesthesia fellowship Designed and implemented a pediatric anesthesia call coverage system at University Hospitals of Cleveland Sponsored two resident projects at the Midwest Anesthesiology Residents Conference Assisted with development of EMS Airway Management Program at University Hospitals of Cleveland 2000 Guest Reviewer, Journal of Urology Member, Education Committee, Society for Pediatric Anesthesia 1999 Guest Reviewer, Journal of Urology Headed committee that developed and implemented an incentive compensation plan for University Anesthesiologists, Inc 1998 Developed and submitted application for ACGME accredited pediatric anesthesia fellowship 1998 Judge, Cleveland Society of Anesthesiologists Resident Research Contest 1997 Guest Reviewer, The Journal of Pediatric Hematology/Oncology 1997 Assisted Tonya Palermo with Ph.D. dissertation project: Teaching Parents to Use Distraction Techniques with Young Children Undergoing Outpatient Surgery: A comparison of Two Interventions 1996 Present Division of Pediatric Anesthesiology liaison to the Division of Pediatric Surgery 1996 Organized and co-directed the 1996 Midwest Anesthesiology Residents Conference 1996 Developed Anesthesia Guidelines for Pediatric Preoperative Evaluation at University Hospitals of Cleveland 1995 Treasurer, Cleveland Society of Anesthesiologists 1995 Developed Pediatric Anesthesia Handbook for use by residents at University Hospitals 1994 Panelist, Cleveland Society of Anesthesiologists Anesthesia Update 1994 Judge, Midwest Anesthesiology Residents Conference 1994 Secretary, Cleveland Society of Anesthesiologists 1994 Completed the American Board of Anesthesiology non-examiner workshop on the ABA oral examination process PROFESSIONAL HONORS 2002 Listed in Consumers Guide to Top Doctors, Consumers Checkbook Magazine, Outstanding Clinical Teacher Award Department of Anesthesiology at University Hospitals of Cleveland PUBLICATIONS BOOK CHAPTERS Tripi PA; Anesthesia for Tympanomastoidectomy. In Litman RS (ed): Strategies in Pediatric Anesthesia Practice. Philadelphia, PocketMedicine.com., Tripi PA; Anesthesia for Bone Marrow Aspiration and Biopsy. In Litman RS (ed): Strategies in Pediatric Anesthesia Practice. Philadelphia, PocketMedicine.com., Tripi, PA; Anesthesia in Children Undergoing Urologic Surgery. In Elder JD (ed): Topics in Clinical Urology: Pediatric Urology for the General Urologist. New York, Igaku-Shoin 1996, pp

4 ARTICLES Tripi PA, Dorostkar P: Automatic Atrial Tachycardia in an Infant Following General Anesthesia. Paediatric Anaesthesia. Accepted for Publication, Tripi PA, Palermo TM, Thomas S, et al: Assessment of risk factors for emergence distress and postoperative behavioral changes in children following general anesthesia. Paediatric Anaesthesia, 2004; 14: Tripi PA, Thomas S, Dearborn DG: Management of general anesthesia in infants and children with a history of idiopathic pulmonary hemorrhage. Paediatric Anaesthesia, 2002;12: Florentino-Pineda I, Blakemore LC, Thompson GH, Poe-Kochert C, Adler P, Tripi PA: The effect of epsilon aminocaproic acid on perioperative blood loss in patients with idiopathic scoliosis undergoing posterior spinal fusion: A preliminary prospective study. Spine, 2001; 26(10): Palermo TM, Tripi PA, Burgess E: Parental presence during anaesthesia induction for outpatient surgery of the infant. Paediatric Anaesthesia, 2000;10: Tripi PA, Modlin S, Sorenson WG, et al: Acute pulmonary hemorrhage in an infant during induction of general anesthesia. Paediatric Anaesthesia, 2000; 10: Tripi PA, Palermo TM: Psychosocial preparation of children for anesthesia and surgery. Progress in Anesthesiology, 1999; 12: Palermo TM, Drotar DD, Tripi PA: Current status of psychosocial intervention research for pediatric outpatient surgery. Journal of Clinical Psychology in Medical Settings, 1999; 6: ABSTRACTS Pujazon MA, Thomas SE, Tripi PA: A retrospective analysis of bradycardia during general anesthesia in children with Down Syndrome. Presented at the 2004 Midwest Anesthesiology Residents Conference, Tripi PA, Palmer JS, Thomas S, et al: Clonidine augments bupivacaine caudal anesthesia in children undergoing ureteroneocystotomy: A randomized double-blind prospective study. Presented at the American Academy of Pediatrics 2003 National conference and Exhibition, Kessler J, Williams DE, Tripi PA: Patency and quality of pre-existing peripheral intravenous catheters in pediatric patients undergoing anesthesia and surgery. Presented at the Midwest Anesthesiology Residents Conference, Chicago, Kandil E, Tripi PA: Emergency laser surgery in a 20-year-old, 29 weeks gestational age gravid patient with recurrent laryngeal papillomatosis. Presented at the Ohio Society of Anesthesiologists annual meeting, Tripi PA, Palermo TM, Florentino-Pineda I, Goldfinger MM, Williams D, Thomas S: Parental presence during anesthesia induction and emergence in children having surgery: Impact on child behavior and emergence distress. Presented at the Society for Pediatric Anesthesia winter meeting, Williams DE, Tripi P: Patency and quality of pre-existing peripheral intravenous catheters in pediatric patients undergoing anesthesia and surgery. Presented at the Midwest Anesthesiology Residents Conference, Domloj NM, Hladky D, Tripi PA: Use of physostigmine to treat a child with unexplained delirium. Presented at Midwest Anesthesiology Residents Conference, Loboda MS, Tripi PA: Airway management of a patient with esophageal stenosis secondary to epidermolysis bullosa. Presented at Midwest Anesthesiology Residents Conference, 2001.

5 Bloch M, Thomas S, Tripi PA: Evaluating pulmonary hemosiderosis as a risk for general anesthesia in children. Presented at Midwest Anesthesiology Residents Conference, Loboda MS, Tripi PA: Difficult airway management of a neonate with unrecognized congenital tracheal stenosis. Presented at Midwest Anesthesiology Residents Conference, Blakemore LC, Florentino-Pineda I, Thomas GH, Poe-Kochert C, Adler P, Tripi P: The effect of epsilon aminocaproic acid on perioperative blood loss in patients with idiopathic scoliosis undergoing posterior spinal fusion. Presented at Pediatric Orthopedic Society of North America Meeting, May, Tripi PA, Palermo TM, Burgess E et al: Parental presence during induction of the infant: Does presence impact parental anxiety, attitudes, or satisfaction levels? Presented at Society for Pediatric Anesthesia winter meeting, Tripi PA: Acute pulmonary hemorrhage in an infant during induction of general anesthesia. Presented at Pediatric Anesthesiology, Toivonen, MS, Palermo TM, Tripi PA: Parent presence during anesthesia induction: Impact on parent satisfaction and child behavior. Presented at Sixth Florida Conference on Child Health, Weeman BK, Tripi PA: Wastage of neuromuscular blockers in the operating room: What is the cost? Presented at Midwest Anesthesiology Residents Conference, Tripi PA, Tetzlaff JE: Influence of experience on successful elicitation of paresthesia for interscalene block. Presented at Ohio Society of Anesthesiologist 52nd Annual Meeting, INTERVIEWS Featured with other physicians on Children s Miracle Network, A Matter of Trust, May 30, Rainbow s pediatric anesthesia team provides highest level of care. Pediatric Update, Spring Does parental presence reduce anxiety, improve outcomes? Anesthesiology News, May, What to know about anesthesia. Cleveland/Akron Family, May, Anesthetizing children: Procedure safer, but will always involve some risk, physicians say. Nursing Weekly, November MEETINGS Co-Director, 1996 Midwest Anesthesiology Residents Conference INVITED LECTURES The pediatric anesthesiologist and outcome for pediatric patients. The Ohio Society of Anesthesiologists Sixty- Third Annual Meeting,, September 21, Pediatric anesthesia. Otolaryngology Grand Rounds, University Hospitals of Cleveland, July 17, Advanced pediatric airway management. The 2nd Annual MedFlight Symposium: Perspectives in Emergency and critical Care, Columbus Ohio, September 15, Psychosocial preparation of children for anesthesia and surgery. Otolaryngology Grand Rounds, March 1, Pediatric pain management. Rainbow Babies and Children s Hospital Nursing, February 24, 1999.

6 Neonatal emergencies. American Academy of Anesthesiologist Assistants Annual Spring Meeting, Jeckyll Island, Georgia, April 6, Physiologic, anatomic, and pharmacologic differences between children and adults. American Academy of Anesthesiologist Assistants Annual Spring Meeting, Jeckyll Island, Georgia, April 6, Pediatric anesthesia update. Trumbull Memorial Hospital, May 28, Patient controlled analgesia. Pediatric Surgery Grand Rounds, University Hospitals of Cleveland, October 14, Preoperative sedation in children. Medical Education Systems Conference, University Hospitals of Cleveland, September 15, Pediatric anesthesia: current practices and future directions. Pediatric Grand Rounds, Rainbow Babies and Childrens Hospital, June 26, Recent advances in anesthesia for children. Children s Surgery Update, Rainbow Babies and Children s Hospital, June 6, Airway management in pediatric trauma. Emergency & Pediatric Trauma Symposium, Rainbow Babies and Children s Hospital, March 6, Update in pediatric anesthesia. Trumbull Memorial Hospital, December 5, Current practices in pediatric anesthesia. Grand Rounds, Lorain Community Hospital, August 19, The anesthesiologist s role in treatment of perioperative pain. Pediatric Pain Symposium, Rainbow Babies and Childrens Hospital, March 22, DEPARTMENTAL PRESENTATIONS January, 2004 Basic Science lecture Children vs. Adults: Differences that matter to anesthesiologists January, 2004 Afternoon conference SVT in an infant January, 2004 Barash Club Diseases presenting in pediatric patients January, 2004 MSA conference Anesthesia for a chiari malformation September, 2003 Afternoon conference Management of postoperative apnea in an infant March, 2003 MSA conference Anesthesia for obstructive sleep apnea April, 2002 Basic Science lecture: PACU April, 2002 Barash club: Pediatric Anesthesia February, 2002 MSA conference: Mentor, Anesthesia considerations in epidermolysis bullosa January, 2002 MSA conference: Mentor, The shared/tenuous pediatric airway December, 2001 Afternoon conference: Who wants to be an anesthesia consultant? November, 2001 Barash club: Muscle relaxants, Mentor September, 2001 MSA conference: Non-cardiac Pediatric Anesthesia, Mentor March, 2001 Basic Science lecture: Pediatric anesthesia February, 2001 Pediatric conference: Anesthesia for urological surgery December, 2000 Afternoon conference: Who wants to be an anesthesia consultant? October, 2000 Pediatric conference: Neonatal emergencies September, 2000 Pediatric conference: Pediatric PACU April 2000 Afternoon conference: Trauma airway management January 2000 Afternoon conference: Complications associated with treatment of subglottic hemangioma December 1999 Afternoon conference Who wants to be an anesthesia consultant? April, 1999 Basic Science lecture: PACU Management December, 1998 Afternoon conference: Anesthesia Jeopardy XI July, 1998 Afternoon conference: Anesthesia Jeopardy X March, 1998 Basic Science lecture: Pediatric Physiology, Anatomy, and Pharmacology

7 February, 1998 Afternoon conference: Neonatal Emergencies January, 1998 MSA conference: Mentor, Pediatric Anesthesia Case Presentation December, 1997 Afternoon conference: Anesthesia Jeopardy IX October, 1997 Afternoon conference: Morbidity and Mortality: Perioperative Bronchospasm October, 1997 Afternoon conference: Morbidity and Mortality: Pediatric Airway Management May, 1997 Afternoon conference: Anesthesia Jeopardy VIII December, 1996 Afternoon conference: Anesthesia Jeopardy VII June, 1996 PACU Conference: Caudal Blockade in Children June, 1996 Afternoon conference: Anesthesia Jeopardy VI February, 1996 Afternoon conference: Morbidity and Mortality of Intraoperative Bronchospasms December, 1995 Afternoon conference: Anesthesia Jeopardy V December, 1995 Journal Club: Blood Product Transfusion November, 1995 Afternoon conference: Morbidity and Mortality: Pediatric Caudal Blocks July, 1995 Orientation lecture: Anesthesia Outside the Operating Room June, 1995 Afternoon conference: Anesthesia Jeopardy IV April, 1995 Department poster: The costs associated with use of muscle relaxants February, 1995 Afternoon conference: Preoperative laboratory testing: What is the cost? December, 1994 Afternoon conference: Anesthesia Jeopardy III November, 1994 Basic science lecture: Congenital Heart Disease I May, 1994 Afternoon conference: Anesthesia Jeopardy II February, 1994 Journal Club: Succinylcholine use in children December, 1993 Afternoon conference: Anesthesia Jeopardy I December, 1993 Basic science lecture: Pediatric Preoperative Evaluation October, 1993 Afternoon conference: Anesthetic management of patients with mediastinal masses August, 1993 Orientation lecture: Intubation Workshop June, 1993 Basic science lecture Management of recovery room problems INTERDEPARTMENTAL PRESENTATIONS February, 2002 Emergency Department Conference Use of LMA s for emergency physicians April, 2001 Emergency Department Conference Nitrous oxide for emergency physicians May, 2000 PICU Conference: Anesthesia May, 1998 PICU Conference: Pediatric sedation August, 1997 Emergency Department Conference: Laryngeal mask airway for emergency physicians September, 1996 Multi-disciplinary Conference: Airway management of acutely ill and injured children March, 1996 PICU Conference: Airway management with the laryngeal mask airway March, 1996 Pain Symposium: Management of pediatric postoperative pain CERTIFICATION April, 1993 Diplomate of The American Board of Anesthesiology, No November, 1990 Diplomate of the American Board of Pediatrics, No Recertification in 1997 Recertification in 2002 July, 1988 Diplomate of the National Board of Medical Examiners, No September, 1997 September, 1996 Advanced Cardiac Life Support Advanced Trauma Life Support LICENSURE Present Ohio No